KENNETH VAN PHAN

SACRAMENTO, CA
NPI1225479371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2013-07-17
Last Update Date2024-10-08
Business Address
KENNETH VAN PHAN
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
Mailing Address
KENNETH VAN PHAN
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000